MARION COUNTY BUILDING INSPECTION
<br />SENATOR BLDG, NO, 225
<br />220 HiGH BTREET NE
<br /> SALEM, OREGON 97301
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<br /> PHONE 588-5147
<br />CODE-A-PHONE 4:30 RM. - 8:00 A,M,
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<br />Other
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<br />SI~NATt.JR~ OF APPLICANT:
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<br /> QATE: .......
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<br />ow~:'f'E: 09/!2/89 'T"~r'aE; 9:!2:39a TAX LOT: CATEGORY:
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<br /> Df'R~N '~'lov gOO~O,,-~90
<br />SITUS ADDRESS: ~ CONSTRUCTION TYPE; OCCUPANCY:
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<br /> CONTRACT CITY: UGB;
<br /> ~?0 8TH ST
<br />.~.UN!P,V I L LE OR 9'7325
<br />USE OF DUaL'DiNG: A(,.IMSV~ LLE NO
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<br /> PO BOX !85
<br /> SUBLZM;~TY OR 9?3,95
<br /> PHONE: ? 69.-'7364
<br />LOT; BLOCK:
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<br />SECTION: ~L3WNSH~P;
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<br />MAP:
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<br />75 95 ? 125- 08 -.dF NO NO
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<br />TYPE: ..EC/IAN~,.AL PERMZT OR APPL~CATZON NO;
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<br />18786
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<br />CONTRACTOR, NO. 55~93
<br />TOM DORAN
<br />PO BO)< 185
<br />SUBLIN~TY 97385
<br />PHONE: 769~7354
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<br /> ITEP
<br />DO~EST!C RANGE HOOD
<br />DOM BXHS'r ~'A,NS & DRYER EN'T'S
<br />1'4ECHAN1CAL BASE FEE'
<br />?LEET SURCHARGE ~ZONE 3
<br />MECHANICAL STATE. f,'.~,UF4(':HARGE
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<br /> AY_.E:
<br />RECE!'vEC, ~Y: PS
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<br />~L. '~,N"r l,' Tv .'.",.~'IOL,:'~, ~
<br />~ $.~. ~`9
<br />3 $9,90
<br /> $i`9.2,7.:
<br /> $,:,, %$
<br /> $1. ~?
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<br /> %SE~=EO r~S .,,..8 `92
<br />TOTAL 5 c --- ¢.~.
<br />P,REVIOUS RECEIPTS 4, Dp ~'~
<br />THI'SRECE£PT .~,. 'w',
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<br />BALANCE DUE $0 "~,,
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<br /> INVOICE NOt
<br /> TYPE': CHECK ~:
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<br /> THIS IS A VALID PERNIT TH;[,S,"PEI:~,I;~T,,E~P'[RES' 180 pAYS F~ ITS I~E DATE. IF
<br />~ST~CTI~ C~SES FOR A PERIOD';,OF ,~8'Q, DAYS, OR IF ,~T~CTI~ FAILS TO MEET ALL
<br />REdIReCTS OF STATE ~ ~D' ~RI~, ~NTY BUILDING ~D Z~ING ORDIN~CES, THIS PE~ZT
<br />~ALL BECOME NULL ~D VOIB. ,,, ,x, ,, .....
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<br />RBIW~.R;<S: HD F'~ ' ' '
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<br />OONA..D ~. ~OGDLEY, ~AR[ON CODNTY BUIL. D[NG OFF[C[.a.L / BY
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<br />OFFICE COPY
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